Individual
MEAGAN ELIANA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
305 S PALM ST, LITTLE ROCK, AR 72205-5432
(510) 883-4389
Mailing address
305 S PALM ST, LITTLE ROCK, AR 72205-5432
(510) 883-4389
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
202168
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2020
Last updated
11/28/2022
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